Physician Compare National (NPI:1255772406)

HEALTHCARE PROVIDER: JASANJOT JENNY PARMAR DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1255772406
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638457849
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161021002148
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PARMAR
	Individual professional last name
Provider First Name	JASANJOT
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0446152003
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	39
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	326 S STILLAGUAMISH AVE
	Group Practice or individual's line 1 address
City	ARLINGTON
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	982231652
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3605725400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500060
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CASCADE VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	500003
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SKAGIT VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050305
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y